I am a plastic surgeon in Little Rock, AR. I used to "suture for a living", I continue "to live to sew". These days most of my sewing is piecing quilts. I love the patterns and interplay of the fabric color. I would like to explore writing about medical/surgical topics as well as sewing/quilting topics. I will do my best to make sure both are represented accurately as I share with both colleagues and the general public.

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Thursday, July 17, 2008

Updated 3/2017-- photos and all links removed as many are no longer active.

I couple of weeks ago when walking my dog early one Sunday morning, we came upon a snake with another snake in its mouth (similar to this). I was left wishing I'd had my camera with me. Then earlier this week on Twitter, there was quite a discussion going on after Theresa admitted a patient with a rattle snake bite. So I thought I would re-post my June 7, 2007 post on Snake Bites. Here it is

I found this under my patio table in the backyard yesterday. Yikes! I really don't like snakes, but can deal with them when necessary. Fortunately, my husband was home. So he dealt with the snake (It's a good snake, says he.) while I took the dogs for a walk. It turns out he was right. The snake is a Eastern Hognose Snake (Heterodon platirhinos). In Arkansas, our poisionous snakes include Copperhead / Pigmy Rattlesnake, Cottonmouth, Timber Rattlesnake / Coral Snake, Western Diamondback Rattlesnake. Comparative risks tables place the annual death from drownings at more than 6,000 and the annual deaths from snake bites at 5.5.

There is a very nice review article of snake bites (Bites and Stings: Snake Bites) at Medscape. First Aid in the field (or home) consists of:

Preventing systemic absorption of the toxin which may be done with compressive dressings and immobilization of the bitten extremity.

If signs of envenomation begin to occur, a constriction band to impede lymphatic flow should be placed on the extremity, proximal to the bite. Transport to a hospital should take place immediately.

The site should be wiped off and cleaned. The use of field first-aid methods such as incision and suction, tourniquets, and cryotherapy has been associated with a threefold increase in the likelihood of the need for surgical intervention.

Although popular belief has it that snakebites kill within minutes, in fact, the toxicity from snake venom usually does not even begin to affect the body for several hours. In one review, 64% of deaths from snakebite occurred between 6 and 48 hours after the patient was bitten.

I have never in my years of practice had to deal with a snake bite, but have a healthy fear of cotton mouths and copper heads. I know that snakes may be an important part of our environment, but I still don't like snakes.

Disclaimer

My purpose in writing my blog is to attempt to provide good solid medical information on topics of my choosing. It is a way to educate myself, my colleagues, and the general public. References will be provided on medical posts, but not on opinion essays or poetry posts. An additional purpose is to share my interest in quilting topics, a way to show my human side.

Any medical information provided by this site is not a replacement for medical diagnosis, treatment, or professional medical advice. It should not be used to treat or diagnose any medical condition. Always seek professional medical consultation by a licensed physician for diagnosis and treatment of any and all medical conditions - please, do not ignore your doctor's medical advice based on information written by the author or commenters of this site. Please do not ask me for medical advice, but instead contact a healthcare provider in your area. Anything written about office/hospital situations/events are fictional examples to get a point across. No patient is/will ever be a specific patient (unless given written permission), but a fictional one. To know more about how I handle medical information about patients please link here. Unless, I am praising a colleague, even those will be fictional. Any similarities to you or people you know is purely coincidental. My husband and I, and our dogs are fair game.

In early 2009 I joined the Better Health Network. As part of that Network, I will occasionally be paid for my writing. Those posts will be clearly noted. I will strive to maintain my high ethical standards. If I add any advertising, it will be clearly marked as such.

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I do not intend to use this blog to collect or dispense private health information on patients. If any patient is used as an explicit example for a posting, I will get that patient's consent in writing to use their story and/or photo. The office is permitted by federal privacy laws to make uses and disclosures of your health information for purposes of treatment, payment, and health care operations. However, that is not the intent of this blog. I intend to share information on medical/quilting topics with the general public and my colleagues. This web site does not share or sell any personal information, including your name, address, or email addresses with third parties. Have a blessed day!